Pull-through technique for entire thoracic aortic dissection without additional left thoracotomy

Interact Cardiovasc Thorac Surg. 2011 Feb;12(2):339-40. doi: 10.1510/icvts.2010.254896. Epub 2010 Nov 7.

Abstract

Urgent single-staged replacement of the aortic dissection involving the entire thoracic aorta was performed by using the modified pull-through technique via median sternotomy. Distal anastomosis was achieved via posterior pericardium to avoid the lateral thoracotomy and then the graft was pulled through the false lumen of the descending aorta into the aortic arch. Each lumen between proximal and distal anastomosis was closed for hemostasis. The aortic arch was replaced with a four-branched graft. Postoperative course was uneventful. This procedure might be an alternative in selected patients to the left thoracotomy.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anastomosis, Surgical / methods
  • Aneurysm, False / diagnostic imaging
  • Aneurysm, False / surgery*
  • Aortic Aneurysm, Thoracic / diagnostic imaging
  • Aortic Aneurysm, Thoracic / surgery*
  • Aortic Dissection / diagnostic imaging
  • Aortic Dissection / surgery*
  • Blood Vessel Prosthesis Implantation / adverse effects
  • Blood Vessel Prosthesis Implantation / methods*
  • Cardiopulmonary Bypass / methods
  • Follow-Up Studies
  • Humans
  • Magnetic Resonance Angiography / methods
  • Male
  • Minimally Invasive Surgical Procedures / methods
  • Radiography
  • Recurrence
  • Reoperation / methods
  • Risk Assessment
  • Sternotomy / methods
  • Treatment Outcome
  • Vascular Surgical Procedures / methods